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JORDANA KOLLER LMSW
NPI 1851712566
Social Worker in Bronx, NY

Active since December 23, 2013PECOS EnrolledAccepts Medicare Assignment
750 TILDEN STREET, BRONX, NY 10467(718) 231-3400 Get Directions Write a Review

NPPES record last updated: December 26, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jordana Koller Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDANA KOLLER LMSW (NPI 1851712566) is an individual social worker in Bronx, New York, licensed in New York (088973) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS and is a graduate of Fordham University School Of Medicine (2012).

NPPES Registry Identity

NPI1851712566
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameJORDANA KOLLERCredential: LMSW
Location Address750 TILDEN STREETBronx, NY 10467-6013
Mailing Address109 Walcott AveStaten Island, NY 10314-6311 · (718) 231-3400
Phone(718) 231-3400
Sole ProprietorYes
Medical School CMSFordham University School Of MedicineGraduated 2012
Enumeration DateDecember 23, 2013
Last NPPES UpdateDecember 26, 2013
✔ NPI 1851712566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NY · 088973
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
750 TILDEN STREET, Bronx, NY 10467
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Other Identifiers 1

Other088973NY · Aswb

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jordana Koller Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901170430
PECOS Enrollment IDI20170922001150
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jordana Koller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Interborough Developmental And Consultation Center, Inc.
19 mi
Case Management
1623 KINGS HWY
Brooklyn, NY 11229
  • Reassigned Medicare billing, New York enrollment
  • 306 clinicians in this Medicare group
NPI 1588611842 (718) 375-1200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOLAIKA BRUNET
Social Worker (Clinical)
750 TILDEN STREET
BRONX,, NY 10467
Bronx County (718) 231-3400
HUGH HOWARD YOUNG MD
Psychiatry & Neurology (Psychiatry)
750 TILDEN STREET
BRONX, NY 10467
Bronx County (718) 231-3400
GLENDENISE MCPHERSON
Social Worker
750 TILDEN STREET
BRONX, NY 10467
Bronx County (718) 231-3400
JENNA KNOLL LMHC
Counselor
750 TILDEN STREET
BRONX, NY 10467
Bronx County (718) 231-3400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordana Koller's NPI number?

The NPI number for Jordana Koller is 1851712566. It was assigned to this individual provider in the NPPES registry on December 23, 2013.

Where is Jordana Koller located?

Jordana Koller practices at 750 Tilden Street, Bronx, NY 10467. The listed phone number is (718) 231-3400.

What is Jordana Koller's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Jordana Koller enrolled in Medicare?

Yes. Jordana Koller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jordana Koller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordana Koller reassigns Medicare benefits to Interborough Developmental And Consultation Center, Inc. (Brooklyn, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jordana Koller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jordana Koller was last updated on December 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.